Please enable JavaScript in your browser to complete this form.
Court order for GPS Monitoring
Please fill out the form below for a court order for GPS Monitoring.
Please enable JavaScript in your browser to complete this form.
Personal Information
-
Step
1
of 7
Your Information
What is Your Name?
*
First
Last
What is Your Email Address?
*
What is Your Phone Number?
*
Next
Defendant Information
What is the Defendant's Name:
*
First
Last
What is the Defendant's Address?
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What is the Defendant's Date of Birth?
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
What is the Defendant's Phone Number?
*
Previous
Next
Case Information
What is the SPN/Booking Number?
*
What is the Case Number?
*
What are the Charges?
*
Previous
Next
GPS/Alcohol Monitoring Options
What type of GPS/Alcohol Monitoring would you like for the Defendant?
*
High-Risk Monitoring (Relialert w/Secure Cuff)
GEOSATIS Hybrid GPS Bracelet
Continuous Alcohol Monitoring (CAM) Device
Breathalyzer
Other (Specify)
Other (Specify)
*
Please check all that apply:
Are there Restrictions?
*
No Restrictions
Yes Restrictions
What are the Areas of Inclusion for Monitoring?
*
No Inclusions
County
Judicial District
Other
Please Specify (County)
*
PLease Specify (Judicial District)
*
Please Specify (Other)
*
Is there a Curfew?
*
Yes
No
Curfew Hours:
*
Is there House Arrest?
*
Yes
No
Are there any Exceptions?
*
Work
School
Treatment
Religious Activity
Case Related
Attorney
Court Dates
Grocery Store
Other
Work Address Location(s)
*
School Address Location(s):
*
Treatment Address Location(s):
*
Religious Activity Address Location(s):
*
Case Related Address Location(s):
*
Attorney Address Location(s):
*
Grocery Address Location(s):
*
Other Address Location(s):
*
Previous
Next
Victim Information
How Many Victims are there?
*
Victim 1 Info:
What is the Name of the Victim?
*
First
Last
What is the Address of the Victim?
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What is the Phone Number of the Victim?
*
Victim 2 Info:
What is the Name of Victim 2?
*
First
Last
Is the Address of Victim 2 THE SAME as Victim 1?
*
Yes
No
What is the Address of Victim 2?
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Is the Phone Number of Victim 2 THE SAME as Victim 1?
*
Yes
No
What is the Phone Number of Victim 2?
*
Victim 3 Info:
What is the Name of Victim 3?
*
First
Last
Is the Address of Victim 3 THE SAME as Victim 1 or 2?
*
Yes
No
Which Victim has THE SAME Address?
*
Victim 1
Victim 2
What is the Address of Victim 3?
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Is the Phone Number of Victim 3 THE SAME as Victim 1 or 2?
*
Yes
No
Which Victim has the same Phone Number?
*
Victim 1
Victim 2
What is the Phone Number of Victim 3?
*
Are there Additional Victims?
*
Yes (Please Specify Below)
No
Who are the Additional Victims?
*
Previous
Next
Areas of Exclusion
What is the Address of the Offense?
*
Address Line 1
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Party or Parties to be Notified of Violations:
How Many People are to be Notified?
*
Person 1
Name
*
First
Last
Phone
*
Person 2
Name
*
First
Last
Phone
*
Person 3
Name
*
First
Last
Phone
*
Person 4
Name
*
First
Last
Phone
*
Are there Additional People to be Notified?
*
Yes (Please specify)
No
Who are the Additional People?
*
Previous
Next
By Order of Judge:
Name
*
First
Last
Your Signature
*
Clear Signature
Date
*
Submit